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Home My Public Portal About9623 VAL ST_Electrical__ 76gB63 EEBDp .D„= APPLICA CSN R ELECTRICAL PERMIT COUNTY OF LOS ANGELES pB DEPARTMENT OF COUNTY ENGINEER NGORE53 BUILDING AND SAFETY DIVISION List LOCALITY Q NEARESTp ' I FOR APPLICANT TO FILL IN CROSS ST OUTLETS O EACH IEE ROR M NAME S r V RECEPT_ MAIL C i h LIGHT_ TOTAL ,9 I FIRST 20 2S AGGRESS96Q3 CITY G'IT TEL NO SWITCH_ OVER 20 10 PLAN CHECK FIRST 20 25 FI%TURES 10 APPLICANT LIGHTING TOTAL OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL NO PERMIT p I r RANGE_DRYER HTR_ APPLICANT /1np/R!E L C �+ STA COOK_DISP F A U _ ADDRESS e0tF Gla D E SPACE HTR AIR COND CITY CQTEL NO CLOTHES WASH DISHWASH _ LICENSE OR REG NUMBER 011917s, CLASS FAN__LOTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION •HD STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY MOTORS TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND HEATERS ETC NP KW RVA ELECTRICAL WIRING SIZE B TYPE OVCR TO HAICBY CERTIFY THAT I AM PROPERLY REGISTERED AxoroR 0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CA LIIORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE 1 - 10 300 OESCPICEO RESIDENTIAL PROPERTY PERMITEE (�L {T^C 10 - SO SOO SIGNAcd H.O1..... SO - 100 10 DD DISTRICT NORO SSED U W 100 - 500 1500 7 D a T y 2 SIGN GAS SIGN AND ONE CIRCUIT 5 G APPROVALS DAT! INV—SefoR 2SIGNRTURE TUBE OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE SERVICE NOTOVER 600 VOLTS OR 200AMP 300 UNDERSLAB WORK SERVICE OVER 600 VOLTS OR 200AMP 1000 ROUGH CONDUIT TEMPSERVICE POLE &APPURTENANCES SOO WIRING !J� TEMP LIGHT OR RECEIPT SYSTEM SOO FIXTURES POWER AUTHORIZED UTILITY CO NOTIFIED FINAL l�S PERMIT FEE (SUB TOTAL) NOTES PLAN CHECK FEE PERMIT ISSUING FEE 300 TOTAL FEE Q I N PLAN CHECK VALIDATION CK M D CASH PERMIT VALIDATION CK M 0 CASH 6 1 5 V AN 6 Atid SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE r > IHS•, „ �• APPLICATION FOR PERMIT DEPARTMENT OFNG AND SAFETY ELECTRIC 1 COUNTY OFF LOS LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. BROUP ZONE PERMIT NO. ELECTRICIAN / /Seal� RECEIVED BY READY FOR DAT[ ISSUED ADDRESS Z FIRST INSPECTION CITY TEL.NG 3�0 COUNTY LICCNIA NO �.Oi.7' E%PIR[B BUILDING PERFEES ADDREBB MIT f[[ LOCALITY NUMBER OUTLETS EACH LIGHT ge 0 NEAREST 2(/ CROSS ST VT RECEPTACLES 3 C 33 FIXTURES B OWNER rx /I WALL SWITCHES 5 —MAIL P EL C. RANO[➢ 25 ADDRESS [LEC HEATERS OO CITY TEL NO 5a5MISC I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS J NUMBER Or CIRCUITS INSTALLED TOTA, APPLICATION AND STATE THAT THE ABOVE IB CORRECT Sd L1 HTB r ¢PTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING NUHe[w HORSEPOWER FE[ I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS New MVp H► OV[w IH[1 [,OH ANGELES COl1NTY LICENSE, OR I AM THE LEGAL OWNER . L[.. ® 16 OF THE RESIDENTIAL PROPERTY DEB RIBED ABOVE I/ • BO SIONATUR[ O' Z B 1 00 PC TT s 1• 1 BC INSPECTION RECORD is BO Y eO •C ROC Soo 300 BOO 1 O CD BOO 1 m 1SDO Q OVER 1DOD 70 DO Z M C SET FREC CH NO[R-HP O_ WELDERS AC-KVA GENERATORS - KW O TRANSFORMERS - KVA TEMP MOTORS (76 Or GRIM) MOVED MOTORS (75% Or ORIR) Minn SIGNS TYPES NO.TRANS TYPE NO LAMPS111 APPROVALS FOR EACH PERMIT DATES INSP¢CTOR•S NAM[ WIRING •I.CO 1 100 CONDUIT Q FIXTUR[B •1 00 00 . WIRING RUPPI.XMIENTARY SO FIXTURES POWER TOTAL FEE • 0 UT1uTYCO NOTIFIED Lt CZ e FINAL TG^43 CEB°° '°,72 APPLICATION FOkVECTRICAL PERM �t COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER n000RE55 BUILDING AND SAFETY DIVISION LOCALITY LEC"- j FOR APPLICANT TO FILL IN NEAREST CROSS ST OUTLETS NO EACH E OWNER OR It/ FIRM NAME - RECEPT S MAIL LIGHT TOTAL FIRST 20 ZS ADDRESS CITY TEL NO SWITCH_ OVER 20 10 PLAN CHECK LIGHTING FIRST 20 25 APPLICANT TOTAL FI%TURES 10 OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL NO PERMIT RANGE_DRYER_WTR HTR_ APPLICANT Itv STA COOK_DISP _F A U _ ADDRESS SPACE HTR AIR COND CIITY p TEL NO CLOTHES WASH DISMWASH_ gEGNUMBEA _2_ CLASS FAN_OTHER IDG I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND HEATERS ETC HP KW RVA ELECTRICAL WIRING SIZE S TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR O - 1 100 LICE NEEDAB REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEO AL OWNER OF THE ABOVE y 1 - 10 300 DESCRYEO RESIDENTIAL PROPERTY O PERMITEE Of 10 - 50 Sop SIGNATURE H 50 - 100 TODD DISTRICT 0 ED BY U nW. 100 - 500 1500 l = SIGN GAS SIGN AND ONE CIRCUIT BOO APPROVALS DATE INVECTORISBGRNTURE TUBE OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE SERVICENOTOVER 600 VOLTS OR 200 AMP 300 UNDERSLAB WORK SERVICE OVER 600 VOLTS OR 200 AMP 1000 ROUGH CONDUIT TEMPSERVICE POLE &APPURTENANCES 500 WIRING (/ �� 3 TEMP LIGHT OR RECEPT SYSTEM 300 1 FIXTURES -2Al 3i/, Y POWER AUTHORIZED UTILITY CO NOTIFIED FINAL E PERMIT FEE (SUB TOTAL) NOTES �� • L RI PLAN CHECK FEE A— O a A/ PERMIT ISSUING FEE 300 Q d TOTAL FEE PLAN CHECK VALIDATION CK M 0 CASH PERMIT IDATION CK M 0 cAan• l tir 3 4 9 ,-j-,3 OCT Q 2 7 .50A C, BEE BACK OF APPLICATION FOR COMPLETE SCHEDULE '76A533 tES0610„2 APPLICATION FOR ELECTRICAL PERMIT Lu COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB / ^1 i/ BUILDING AND SAFETY DIVISION ADDRESS f7 i V LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST OUTLETS FEe FIS./NAME 4 yj RECEIPT 1 $ MAIL f6.2 /1 pL FIRST 20 35 Q AODRESS 7 6 n tt LIGHT_ TOTAL CITU yh/-j� l IT TFL NO SWITCH OVER 20 ID PLANCHECK FIRST 20 L' APPLICANT LIGHTING 7 AL FI%TURES 10 OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL NO PERMIT RANGE_ORYER_WTR HTR_ APPLICANT 20 C. STA COOK_DISP_F A U _ ADDRESS D CO if rh � ' SPACE HTR AIR COND CITY OL(JIA R7-S TEL NO p/�`7 CLOTHES WASH DISHWASH_ REGE NUMBER 22536 2 CLASS 0—-20 FAN_OTHER 100 1 HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STAT[ THAT TNT MOVE 19 CORRECT AND AGREE TO COMPLY MOTORS TRANSIORMER\ RATI NO WITH ALL COUNTY ORDINANCES AND STAT[ LAWS REGULATING IND NEATER!, ETC HP KW RVA ELECTRICAL WIRING SIZES TYPE OVER TO I LICENSED A CERTIFY THAT I AMANGELES PROPERLY REGISTERED AND”OF O - 1 100 CALIFOED A! REOU'R BY LTH ANGELES COUNTY AND STATE OF CALIFORNIA OR THAI 1 AM THE LEGAL OWNER OI THE ABOVE C_ 1 - 10 ]W DEl CRIlED RESIDENTIAL PROPERTY , [oL [FINAL EE U 10 - 50 500 URE C O SO — 100 1000 CT NO PROCESSED BY O W d 100 — 500 1500 SIGN GAS SIGN AND ONE CIRCUIT 500 PPROVALS DAT! INY[CTOIPS SIGNATURE TUBE OR MARQUEE ADDITIONAL CIRCUITS IAO POWER POLE SERVICENOTOVER 600 VOLTS OR 200 AMP 300 LAB WORK SERVICEOVER600 VOLTS OR 200AMP 1000 CONDUIT TEMPSERVICE,POLE, &APPURTENANCES 500 TEMP LIGHT OR RECEPT SYSTEM 300 ES AUTHORIZED Y CO NOTIFIED �;7 Y �. PERMIT FEE (SUB TOTAL) NOTES PLAN CHECK FEE PERMIT ISSUING FEE 300 G Q TOTAL FEE D PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION CK M o CASH I lr, 4 0 7 573 DEC 12 2 D 3 .5 0 e < SEE SACK OF APPLICATION FOR COMPLETE SCHEDULE TION WORKERS COMPENSATION1hwecate of corse CE863 APPLICATION FOR ELECTRICAL PERMIT I{iereby af(um »at I hove a certificate of consent to self �BOeG !� insure W 6 certif'cat, of Workers Compensation Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY e or a certified copy thereof (Sec 3800 Lob C ) 11 Policy No F-51 iZ Company FAIlydbt0VlT FOR APPLIGNT TO FILL IN JOB ADDRESS 9623 V 1 $ et Certified copy is hereby fur*FM New Residential Bldgs B Pools �� NO � 1 8 2-FomJ Ft $ — S LOCALI Certified copy is filed with Id in pec- Y SQ NEAREST bon department Multi-family dy Sq Ft — CROSS ST Date—s725 D`7 Applicant Residential Swimming Pools OR L— �I FFIIRM NAME John Steenhard CERTIFICATE OF EXEMPTIORKERS Outlets Rec�Lrght�Sw� MAIL COMPENSATION INSURANCE First 20 ADDRESS Val Street (This section need net be completed If she work Involved by Total No�7. Additional Cl�efll I@ CI Tel No 44 0089 she permit b for one hundred dollars ($100)or Ins ) RAN CHECK 1 certify that in the performance of the work for which this APPLICANTpermit is issued I shall not employ any person in any ownner so as to become subject to the Workers Compemotion Laws Lighting Fixtures First 20 ADDRESS Total No ?/ Additional Date Applicant CITY Tel No Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT If after making this Certificate of Exemption you should become subject to the Workers Range_ Heater_D W _ AFRICAN C Compensation provisions of the Labor Code you must forth- Oven _ Dryer _ W M -- ADDRESS222 `/L/ Foothi I I Blvd, with comply with such provisions or this permit shall be Top _ FAU _WH — Glendora �i31-3157 deemed revoked Hood _ Fan L a Tel N Other— CITU LICENSED CONTRACTORS DECLARATION Disp _ Room Air Cond LREGNNUOMBER Class B hereby affirm that am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO� a� PRO D BY Y and Professions Cade and my license is in full force and effect d Size 8 Type HP KW KVA, or KVAR License Number c Cllaasss '��.yp Up to 1 Ind FINAL V Contractor Date Over 1 to 10 Incl DA's `L —10 V DATION 0 ❑ Over 10 to 50 Incl FINA I am exempt under Se Over 50 to 100 Inc BY W B 8P C fee this reason Over 100 pj Date Services, Swbd , MCC 8 Ponelboards , ? 0 -200 Amp Under 600 V Signature 201 1000 Amp Under 600 V ❑ Exemption for Rag Ma,nt Elect Over 1000 Amp or Over 600 V 2 2 7 Q Q A SINGLE FAMILY Tem Power Pole 8 A # e e e e e 2 Temp Appurtenances _ HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit I e • 4 Q 2 5 I hereby affirm that j exempt from the Contractors License Additional Sign Branch Circuits Law for the followingg r reason (Section 7031 5, Business and uis -e 4 Q 2 5 2i Professions Code) ❑ 1, as owner of the property will do the work and the Mrsc Conduits B Conductors ow 2 i —85 structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)— , 7040 Business and Professions Code) CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued PERMIT FEE (Sub-Totol) _ (Sec 3097 C,v C ) PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE _ Q Lender s Address Ve atI have readthis application and state that the TOTAL FEE rmkn ectIagreeto comply with all County ws regulating Electrical wiring and hontabvesofthis County to enter upon operty for mspecbon^p�urp_o/ssssseeeee1111j—. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Dote YfOItltER 76ASS COMPENSATION DECLARATION CE-906G IZ 801 APPLICATION FOR ELECTRICAL PERMIT {j lJ I hereby Iffirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY insure or a certificate of Workers'Compensation Insurance,or e certified copy thereof(Sec 3800 Lab C) / 7 JOB Policy No Company FOR APPLICANT TO EACH FILL N NO FEE ADDRESS ((J L3 New Residential Bldgs &Pools ❑ Certified copy a hereby furnished 1 &2 Family,Sci Ft B — S LOCALITY AD ly�e ❑ Certified co y g p Multifamily Sq FtCR 0 copy a filed with the count building inspection Residential Sim Ing Pools FINNS ST G' department ./ FIRM NAME Date Applicant Outlets R': hht Sw 9 '� — MAILqL Irst 20 ADDRESS V CERTIFICATE OF EXEMPTION FROM WORKERS' Total No Additional CITY Tal No COMPENSATION INSURANCE PLAN C ECK 1 (Thu section need not be Completed If the work myoh7;d APPLICANT / U by the permit is for one hundred dollars ($100) or len) Lighting Fiztu s First io ADDRESS Total No AddiLonel O Ir I certify that in the performance of the work for which this Fixed Appliances Not Owr 1 HP CITY TN No Permit a woad, 1 shall not employ any person in any manner PERMIT so as to become subject to the Workars' Co tion Laws Range_ Heater DWAPPLICANT W Oven _ Dryer W M ADDRESS 1-4 S Z Dale"! A pl cent - Top _ FA U WH . Hood _ Fan Other DI7Y el No NOTICE TO APPLICANT If after making this Certificate of Disp _ Room Air Cond E C� Exemption, you should become subject to the Workers' RE N MBER , am Compensation provisions of the Labor Code, you must forth Power Apparatus& Large Appliances DISTPICTO PRO ED BY with comply with such provisions or this permit shell be // deemed revoked Size&Type HP KW,KVA,or KVA .,. X Up to 1 Incl i! CCCIII ' FINAL Over 1 to 10 Incl DATE LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl VALID I N 1 hereby affirm that 1 em licensed under provisions of Chapter Over 50 to 1D Inc FINAL 9 (commencing with Section 7000) of Division 3 of the Bus, SVi Over 100 / ness and Professions Code, and my license is in full force and effect Services License Numb rLtc Clear w 0 200 Amp Under 600 V 201 1 ODO Amp Under 600 VOver ;22951 A Contract ate Over 1000 Amp or Or 800 V HOME OWNER BUILDER DECLARATION # a a e s a z Temp Power Pole&Appurtenances I hereby affirm that I em exempt from the Contractor's Sign with One Branch Circuit 1 • . 6 a 5 0 License Law for the following reason (Section 7031 5, Busi Additional Sign Branch Circuits ness and Professions Code) a a a 6 a 5 0 ii MixI as owner of the property will do the work end the Other CSee Cor&Conductors ❑ O[her(sea Cwnplata Fes Schedulel— 09 1 9t-85 structure Is not intended or offered for sale (Batson 7044 Business and Professions Code) CONSTRUCTION LENDING AOENCY I hereby affirm that there is e construction lending agency for the performance of the work for which this permit Is PERMIT FEE (Sub-Total) mued(Sec 3097 Ctv C) Lenders Name PLAN CHECKING FEE (One Fourth Permit Fee) , Lenders Address PERMIT ISSUING FEE Q I certify that I have road this application and state that the TOTAL FEE above Information Is correct 1 agree to comply with all County ordinances and State laws regulating Elactncal wiring, and heseby authonre repr entatives of this County to enter upon O the abov mennone openy for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE ignature of Permittee Daft